Quantum Wellness, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007337 Issued in GA

Legal business name

QUANTUM WELLNESS, INC.

Practice address

520 S Main St
Suite B
Alpharetta, GA 30004-7901

Phone

(770) 667-1171

Fax

(770) 667-0801

NPI assigned

Jan 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jarrod Alan Wise, D.C.

Title

Owner

Phone

(770) 667-1171

Specialties & licenses 1

Addresses

Other names 1

• Coleman Chiropractic Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356494744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST",
            "address_2": "SUITE B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047901",
            "telephone_number": "770-667-1171",
            "fax_number": "770-667-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST",
            "address_2": "SUITE B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047901",
            "telephone_number": "770-667-1171",
            "fax_number": "770-667-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JARROD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-667-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coleman Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Alpharetta, GA
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• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.